Leech is an uncommon nasal foreign body, which can cause epistaxis. It is an aquatic segmental
worm living in fresh water most commonly in tropical areas. Once it is attached in the nose, it will
secrete an anticoagulant enzyme named hirudin, and that will result in continuous bleeding more
than from a normal wound even after it is removed. We present a case of a live leech in the nose
that caused unilateral epistaxis in a patient with a recent history of jungle trekking.
Fungal ball is an extramucosal mycosis. The patient may present with facial pain, nasal blockage, purulent nasal discharge and cacosmia, the fungal ball being present unnoticed for years. Some patients do present as having other nasal problems and later on are found out to have a fungal ball incidentally. We present a case of 38 yearold man who was clinically diagnosed as having left antrochoanal polyp. Intraoperatively, a fungal ball was discovered in the left maxillary antrum.
The role of virgin coconut oil in the treatment of allergic rhinitis is controversial.
Thus, the aim of the present study is to determine the effects of virgin coconut oil ingestion, in
addition to standard medications, on allergic rhinitis. We also studied the side effects of
consumption of virgin coconut oil.